Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11933CMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$17.72	$19.03	$23.57
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $13.52B	2	20	0	$31.24	$19.03	$37.09

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11941LMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$17.16	$18.47	$23.01
	Available brands
	AMCLAVOX DUO 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Amoxyclav AN 500/125a
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $10.74B	2	20	0	$27.90	$18.47	$33.75

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1891MMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.65	$15.96	$20.50
	Available brands
	AMCLAVOX DUO 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Amoxyclav AN 500/125a
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.37B	1	10	0	$20.02	$15.96	$25.87

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1892NMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	1	$17.07	$18.75	$23.29
	Available brands
	Curam

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5006LDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.93	$16.24	$20.78
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.76B	1	10	0	$21.69	$16.24	$27.54

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5008NDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.65	$15.96	$20.50
	Available brands
	AMCLAVOX DUO 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Amoxycillin/Clavulanic Acid 500/125 APOTEXa
	Amoxyclav AN 500/125a
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.37B	1	10	0	$20.02	$15.96	$25.87

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5009PDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	0	$17.07	$18.75	$23.29
	Available brands
	Curam

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5011RDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	0	$17.37	$19.05	$23.59
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.22B	1	1	0	$22.59	$19.05	$28.81

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8254KMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$14.93	$16.24	$20.78
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duo Fortea
	AmoxyClav generichealth 875/125a
	Amoxyclav AN 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.76B	1	10	0	$21.69	$16.24	$27.54

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8319WMPNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	1	$17.37	$19.05	$23.59
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.22B	1	1	1	$22.59	$19.05	$28.81